DEEPTI MODY TOLIA DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116871

License Status

INACTIVE

Business

First Name

DEEPTI

Middle

MODY

Last Name

TOLIA

Suffix

Business Name

DEEPTI MODY TOLIA DO

Original Issue Date

09/05/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

DALLAS

State

Zip

75225

County

TEXAS

Ever Disciplined

LastModifiedDate

04/07/2011